Individual
MICHAEL A. STIPANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
605 GLENWOOD DR, SUITE 200, CHATTANOOGA, TN 37404-1130
(423) 698-1844
(423) 624-2226
Mailing address
PO BOX 440100, NASHVILLE, TN 37244-0100
(423) 698-1844
(423) 624-2226
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
047026
GA
207RH0003X
Hematology & Oncology Physician
Primary
MD26565
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00823875A
—
GA
05
—
3839412
—
TN
Enumeration date
05/18/2006
Last updated
02/26/2013
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